Kyung Won Seo, MD, Ki Young Yoon, MD PhD. Deparment of Surgery, College of Medicine, Kosin University, Busan, South Korea
We report our case of laparoscopy-assisted distal gastrectomy with standard D2 lymph node dissection for a patient with early gastric cancer and Laparoscopic cholecystectomy for Gallstone with situs inversus totalis. A superficial elevated lesion was found on the lesser curvature of the antrum. The preoperative diagnosis was cStage IA (cT1, cN0, cH0, cP0, cM0). A 1cm-sized Gallstone was found in the fundus through upper abdominal ultrasound. A laparoscopy-assisted distal gastrectomy with standard D2 lymph node dissection for early gastric cancer and laparoscopic cholecystectomy was successfully performed by no shifting the monitor to the left and right and no changing operator’s position without additional blood loss and time. The number of retrieved Lymph node was 36. We have not found the abnormal course of blood vessels except for the right/left inversion. Billroth I reconstruction was performed through end-to-side anastomosis . Based on a histopathological examination, a 1.5 × 1.5 cm, submucosal (sm3), moderately differentiated adenocarcinoma (pT1, pN0, sH0, sP0, sM0, Stage IA) was diagnosed. The postoperative course was favorable and the patient was discharged on postoperative day 7.
Program Number: P300